Microcatheter-assisted trabeculotomy for the treatment of juvenile open angle glaucoma

中华眼外伤职业眼病杂志 Pub Date : 2019-10-25 DOI:10.3760/CMA.J.ISSN.2095-1477.2019.10.002

W. Bo, A. Xuemei, Wang Huaizhou

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Abstract

Objective To evaluate the efficacy of microcatheter-assisted trabeculotomy for the treatment of juvenile open angle glaucoma(JOAG). Methods Retrospective case cohort series study. Clinical datas of 20 eyes of 15 cases with JOAG treated with microcatheter-assisted trabeculotomy from Apr.2017 to May 2018 at Eye Hospital Affiliated to Chengdu University of T. C.M. were collected and analysed. Results The pre-operative IOP was (33.55±10.73) mmHg (1 mmHg=0.133 kPa). The post-operative IOP decreased to(15.55±3.88)mmHg at last follow-up, and the difference was statistically significant between before and after surgery (t=9.320, P=0.000). The kinds of anti-glaucoma drugs used before surgery were 3.25±0.55 and at the last follow-up decreased to 0.80±1.32 (Z=-3.750, P=0.001). The full success rate of the last follow-up was 70.00 %(14/20) and conditional success rate was 90.00%(18/20). No severe complication occurred intraoperative and psotoperative. Conclusion Microcatheter-assisted trabeculotomy is a safe and effective for the treatment of JOAG. Key words: Glaucoma, open angle, juvenile; Trabeculotomy, microcatheter-assisted; Pressure, intraocular

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微导管辅助小梁切开术治疗青少年开角型青光眼

目的评价微导管辅助小梁切开术治疗青少年开角型青光眼的疗效。方法回顾性病例队列系列研究。收集分析2017年4月至2018年5月成都中医药大学附属眼科医院行显微导管辅助小梁切开术治疗15例JOAG患者20只眼的临床资料。结果术前IOP为(33.55±10.73)mmHg (1 mmHg=0.133 kPa)。最后随访时，术后IOP降至(15.55±3.88)mmHg，术前与术后比较差异有统计学意义(t=9.320, P=0.000)。术前使用的抗青光眼药物种类为3.25±0.55种，末次随访时为0.80±1.32种(Z=-3.750, P=0.001)。末次随访完全成功率为70.00 %(14/20)，条件成功率为90.00%(18/20)。术中、术后均无严重并发症发生。结论微导管辅助小梁切开术治疗JOAG安全有效。关键词:青光眼;开角;青少年;Trabeculotomy microcatheter-assisted;压力,眼内

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中华眼外伤职业眼病杂志

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